| NPI | 1669824702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN OLIVEIRA Owner 860-519-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 002930) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |